A nurse is preparing to perform a dressing change on a 6-year-old client with mild cognitive impairment (CI) from a sport injury. Which strategy should the nurse use to prepare the child for the dressing change?
Demonstrate dressing change with the client using a doll
Complete the dressing change while distracting the child
Have the child watch a video demonstrating the dressing change
Have the child assist with the dressing change
The Correct Answer is A
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. An IQ of 45 is classified as profound intellectual disability. Clients with this score typically require complete care and support in activities of daily living, including personal care, communication, and supervision.
B. While clients with cognitive impairments may perform some self-care activities with supervision, the IQ score of 45 generally indicates a need for significant assistance.
C. Clients with profound intellectual disability are unlikely to function independently at all times.
D. Complex tasks are beyond the capability of individuals with an IQ score of 45, and they would require significant assistance in daily tasks.
Correct Answer is A
Explanation
A. Using cotton-tipped swabs can push earwax deeper into the ear canal, increasing the risk of infection and otitis media.
B. Frequent viral infections may contribute to upper respiratory issues, but they are not the primary risk factor for otitis media.
C. Playing in the pool is a potential risk for outer ear infections, not otitis media.
D. Cleaning the ears with vinegar is not associated with an increased risk of otitis media.
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